|
DEATH
CERTIFICATE
HOMER BROWN MILLER
Date: 29 January 1944
Cert: 05406
Place of Death: County: Perry City or Town:
Rural
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: (blank)
Full Name: Homer Brown MILLER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Minnie MILLER
Age of husband or wife if alive: 43 years
Birth date of deceased: 09 May 1922
Age: 21 years, 08 months, 20 days
Birthplace: Knott Co.
Occupation: Miner
Industry or business: (blank)
Father Name: Charlie MILLER
Father Birthplace: Breathitt Co.
Mother Maiden Name: Carrie Rine RALEIGH
Mother Birthplace: Breathitt Co.
Informant: Taylor WILSON, Blue, Ky.
Burial Place: Riverside
Date: 31 January 1944
Signature funeral director: Maggard Funeral Home, Hazard, Ky.
Date received by local registrar: 24 February 1944
Registrar's Signature: Anna L. Boulos
Date of Death: 29 January 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 10 p.m.
Immediate cause of death: Killed by hit and run driver
crushed skull
Duration: (blank)
Due to: Crushed skull and broken shoulder
Major findings of operations: none Of
autopsy: none
Accident, suicide, or homicide: accident
Date of occurrence: 29 January 1944
Where did injury occur: On Ky. Highway, Route 15
While at work: No
Means of injury: Crushed skull
Signature & Address: Ed Ivey, Coroner, P. C. Co.,
Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 04 June 2010 |
|